Tommy W Wagner is a Family Medicine in Manila, Arkansas. Tommy W Wagner practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tommy W Wagner is 1952385064. The last update date is 2014-02-20.
Tommy W Wagner's current location address is Po Box 910, Manila, Arkansas. You can contact this provider via phone number 8705613300 and fax number 8705613307. The mailing address for Tommy W Wagner is Po Box 910, Manila, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tommy W Wagner |
|---|---|
| Address | Po Box 910, Manila, Arkansas |
| Phone Number | 8705613300 |
| Fax Number | 8705613307 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952385064 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | Po Box 910 |
|---|---|
| City | Manila |
| State | Arkansas (AR) |
| Post Code | 72442 |
| Phone Number | 8705613300 |
| Fax Number | 8705613307 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | E3873 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 156106001 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tommy W Wagner by the Centers for Medicare & Medicaid Services?
The Tommy W Wagner has been assigned the NPI (National Provider Identifier) 1952385064. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tommy W Wagner's facilities are situated?
The facilities of Tommy W Wagner are physically located at the following address: Po Box 910, Manila, AR, 72442.
What is the Tommy W Wagner's specialty and taxonomy code?
The Tommy W Wagner's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952385064 to Tommy W Wagner?
The Tommy W Wagner received its 1952385064 assignment from the Centers for Medicare & Medicaid Services on 2005-12-01.
As of what date was the information pertaining to Tommy W Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tommy W Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-20.